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Home My WebLink About2017-00075 - water softner CITY OF ORONO * z 0 1 7 - 0 0 0 7 5 * i ' 2750 KELLEY PARKWAY DATE [SSUED: OU25/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3520 NORTH SHORE DR PIN : 08-117-23-43-0009 LEGAL DESC : BALDUR PARK : LOT 003 BLOCK 002 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER SOFTENER NOTE: REPLACING A WATER SOFTENER VALUATION OF PLUMBING 2449 APPLICANT PLUMBING FIXTURE FEE 50.00 STATE SURCHARGE PLBG(VALUATION) 1.22 CULLIGAN SOFT WATER SERVICE CO. MAIL-IN FEE 2.00 6030 CULLIGAN WAY MINNETONKA,MN 55345- TOTAL 53.22 (952)912-7379 Payment(s) CREDIT CARD 5107 53.22 OWNER POLK,JAMES& LEXIE 3520 NORTH SHORE DR , MN 55391- AGREEMENT AND SWORN STATEMENT rhe work for which this permit is issued shall be performed according to Ihe approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring alI required inspections are requested in conformance with the State Building Code.This permit may be 1 revoked at any time for due cause. ��/ � �� I � �� :�� .J ��' ;L � �.�-�i Applicant Permitee Signature ate Issued By Signature Date O1/24/2017 11:42 FAX 9529335049 CULLIGAN MNTKA C�002 , p City of Orono FOR GITY USE ONLY ..--�� a P.O. Box 66 Date Received f� 2750 Ke11ey Parkway Perm�t# ��1 ��C� ,, Crystal Bay, MN 55323 ,; r,T r�r � (952)249-4600—Main Approved Sy ��r�� '�Kesr,o0.�' (952}249-4616—Fax ; �� Amount$ ;�' �:., r. CITY OF ORC�NO — PLUMBING PERMfT {All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli mn qov/CCLD/PDF/pe plumbpianrevap�.adf GENERAL 1NFORMATION . I '�`, ; ' . . 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUS7 NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB Si7E. 3. Piumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. Ali work must be done in accordance with State Code requiremen#s. 6. All work must be inspected and air tested before it is covered. CaIE (952)249-460a. (24-48 hour notice required} ;. ( : :: ' ' TYPE OF PERMIT Ch " :; , ; eck All Thaf,:AP�t�) -. ` �Residential ❑ Commercial (Approval Required} [Backflow Device:[]AVB ❑PVB] ❑ New ❑ Additional ❑ Repairs �` eplace ❑ In Accessory Structure? *You wi11 need rior a roval and may need CUP. (Per Orono City Code, Chapter 78, Article I� Job Site / Owner'Information: Si#eAddress: 35a1� I�� s�'`�'� �'� Owner: ��5 ��1�L Maifing Address: City: Zip: Home Phone: a 1�- �S 1 - $9 �3 Alternate Phone: Confractor,lnformation:`; Contractor: Contact Person: �. _ Address: ��Q ��LL�GAfV V►1�Y State Bond #: . , ,�,� Cit ; �g�� 33��2q� Z�p� Expiration Date: Y Phone: Alternate Phane: ❑ Insurance—Current: Page 1 O1/24/2017 11:43 FAX 9529335049 CULLIGAN MNTKA C�003 � . ,: �s . ,. _; . �; � :'.PLUMBING FI?CTURES BEkNG lNSTALLED .. . :.. .- FIXTURE BSMT 1sT 2ND OTHER FITMPEE BSMT Fioor Floor OTHER NpE Floor Floor Water Closet Floor Drains Lavatory Sewer Ejector Bathtub Laundry Tray Shower Washer Kitchen Sink Water Hea#er Disposal Water Softener Dishwasher Wet Bar Sillcocks MiscelEaneous ;��°,,.,�a,= . . . .::�� . .�.�;�'. ._��4 .�w �, ,P��MIT:FEE.C�4��U:tATI�N, , ° � � ,�'�, ,s� � � �- 1. CONTRAC'F PR10E * is 1.25% of contract price with a (Minimurn Fee of$50.00) �,�, . ��/ � x .0125 $ ��> �, (contract price) (minimum $50.00) 2. STATE SURCHARGE �� ,J, r- x .0005 $ (contract price) 3. A�STAGE 8� HANDLING (Only on Mail-ln Applications) $ 2.b0 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � ��_;> > `}�� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amoun# charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the amount of #he job cost, the City may request the submission of a signed copy of the actual contract. �; +;'� � r�' �'` P,:L.UMBI'NG.E'� RMITN1APPLICAT�0�1�1 AGf��E11�lENT' �_�,�� : ;`�. _ , �� , , . .,. . ,, ; The undersigned hereby appfies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: D ate: 1 �y ' 1 � Building Officia{/lnspector. Date: Page 2 e� CITY OF'ORONO cALLED IN G� �` �M IN$PECTION I�LOTICE SCHEDULED ��/? �'7-d"lL PERMfT NO.ar�� P ED - AooREss �350�1� .�/7�t O'WNER ' TELEPHONE N ��7�7� �.�d CONTRACTOR � � DESCRIPTION ��-�� 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4`CI AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dWN�KTRRCTOR TO MEET YDU:_YE8_NO � COMMENT� 4 �� /'Dv�c��D ' j O � �Ja r K C'�.+��e�c or .�a��•-S � � W OC � � Z � r � �/NY4��i ..L_�/�6� J � ❑Wi01iK SATISFACTORY:PROCEED ��C S��ECE COMPLETE W ❑OOqRECT VMORK 8 PROCEED O I FICATE OF OC(XIPANCY 0 �(�RF�CT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERINO PERMANENT �OORRECTUNSAFEOONDITIONWRHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑dTATiON ISSUED O IWSPECTIOM REQl11RED.CALL TO ARRANGE ACCESS. csM ior the next Mspection z4 nours��►�oe. (952) 249-4600 on site: �nspector - WMb CcP1��"+� Gn�ry Cop�ISIN No1ks